{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T23:11:57Z","timestamp":1790291517047,"version":"4.1.0"},"reference-count":8,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2009,4,1]],"date-time":"2009-04-01T00:00:00Z","timestamp":1238544000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2009,4]]},"abstract":"<jats:p>The pure tone audiogram is an accurate measure of auditory threshold as a function of stimulus frequency. However, it does not provide the complete picture in patients with sensorineural hearing loss (SNHL) because it is not a direct measure of damage to the cochlear epithelium or of the associated limits on information\u2010carrying capacity that restrict word recognition. Diagnostic use of the audiogram leads to the error of viewing SNHL as \u201cdB of hearing loss,\u201d which may seem reversible by gain. Cochlear disorders, on the other hand, often give rise to abnormal thresholds because regions are damaged and may best be thought of more in terms of intractable sensory limitations, comparable to vision loss in retinal disease. We argue that word recognition testing at low vs high presentation levels provides a quantification of the cochlea's information\u2010carrying capacity and is a useful predictor of word recognition limits with hearing aids.<\/jats:p>","DOI":"10.1016\/j.otohns.2008.12.021","type":"journal-article","created":{"date-parts":[[2009,3,27]],"date-time":"2009-03-27T04:58:59Z","timestamp":1238129939000},"page":"473-476","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["Article Commentary: Clinical implications of a damaged cochlea: Pure tone thresholds vs information\u2010carrying capacity"],"prefix":"10.1002","volume":"140","author":[{"given":"Chris","family":"Halpin","sequence":"first","affiliation":[{"name":"Department of Audiology Massachusetts Eye and Ear Infirmary Boston MA"},{"name":"Department of Otology and Laryngology Harvard Medical School Boston MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven D.","family":"Rauch","sequence":"additional","affiliation":[{"name":"Department of Otology and Laryngology Harvard Medical School Boston MA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2009,4]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"American National Standards Institute S3.5\u2013R2007 Standard methods for calculation of the Speech Intelligibility Index.","year":"2007"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1044\/jshr.2103.507"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1044\/1059-0889(2002\/016)"},{"key":"e_1_2_10_5_1","unstructured":"HalpinC.Speech kneepoint survey [MEEI# 04\u201311\u2013071X] (unpublished data).2004"},{"issue":"2","key":"e_1_2_10_6_1","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1097\/AUD.0b013e31803126e2","article-title":"Prevalence of dead regions in subjects with sensorineural hearing loss.","volume":"28","author":"Vinay","year":"2007","journal-title":"Ear Hear"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200601000-00020"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1044\/jshr.2904.434"},{"key":"e_1_2_10_9_1","volume-title":"Pathology of the Ear.","author":"Schuknecht H","year":"1993"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2008.12.021","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.otohns.2008.12.021","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2008.12.021","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T11:55:58Z","timestamp":1760961358000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.otohns.2008.12.021"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,4]]},"references-count":8,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2009,4]]}},"alternative-id":["10.1016\/j.otohns.2008.12.021"],"URL":"https:\/\/doi.org\/10.1016\/j.otohns.2008.12.021","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,4]]},"assertion":[{"value":"2008-09-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2008-12-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2009-04-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}